Decrease in Talocrural Joint Mobility is Related to Alteration of the          Arterial Blood Flow Velocity in the Lower Limb in Diabetic Women

Guirro, Elaine Caldeira de Oliveira; Guirro, Rinaldo Roberto de Jesus; Dibai‐Filho, Almir Vieira; Montezuma, Thaís; Vaz, Maíta Mara de Oliveira Lima Leite

doi:10.1589/jpts.26.553

Cited by 13 publications

(7 citation statements)

References 25 publications

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“…Furthermore, high plantar pressure is a risk factor for diabetic foot ulcers 2 ) . An association between LJM of the ankle and first metatarsophalangeal joints and risk of diabetic foot ulcers has been reported by a number of studies 3 , 4 , 5 , 6 , 7 , 8 ) .…”

Section: Introductionmentioning

confidence: 81%

Factors affecting the range of motion of the ankle and first metatarsophalangeal joints in patients undergoing hemodialysis who walk daily

et al. 2016

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[Purpose] Increased plantar pressure during walking is a risk factor for foot ulcers because of reduced range of motion at the ankle and first metatarsophalangeal joints. However, the range of motion in patients undergoing hemodialysis has not yet been determined. A cross-sectional study was performed to investigate the factors affecting the range of motion of the ankle and first metatarsophalangeal joints in patients undergoing hemodialysis who walk daily. [Subjects and Methods] Seventy feet of 35 patients receiving hemodialysis therapy were examined. Measurements included the passive range of motion of plantar flexion and dorsiflexion of the ankle joint, and flexion and extension of the first metatarsophalangeal joint. [Results] Hemodialysis duration was not associated with ankle and first metatarsophalangeal joint range of motion in patients undergoing hemodialysis. Diabetes duration was significantly associated with limited ankle joint mobility. Finally, blood hemoglobin levels, body mass index, and age were associated with first metatarsophalangeal joint range of motion. [Conclusion] The present study identified age, diabetes, and decreased physical activity, but not hemodialysis duration, to be risk factors for limited joint mobility of the ankle and first metatarsophalangeal joints in patients undergoing hemodialysis.

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Section: Introductionmentioning

confidence: 81%

Factors affecting the range of motion of the ankle and first metatarsophalangeal joints in patients undergoing hemodialysis who walk daily

et al. 2016

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“…The peak blood flow velocity and blood flow during systole were selected for analysis. 20–22 The hemodynamic parameters of each blood vessel were measured three times by two doctors with >3 years of ultrasonic clinical testing experience.…”

Section: Methodsmentioning

confidence: 99%

Alterations in plantar vessel blood flow in patients with mild diabetic peripheral neuropathy

Zhou

Qian

Yang

et al. 2022

BMJ Open Diab Res Care

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IntroductionEarly identification and treatment of diabetic peripheral neuropathy (DPN) are crucial. Presently, the mechanism of DPN is not very clear, and there are inconclusive conclusions about the influencing factors of vascular dynamic characteristics in DPN. This study aims to detect and compare the hemodynamic characteristics of plantar blood vessels in patients with mild DPN and healthy participants to explore a simple and reliable new idea and a potential method for early assessment of DPN and to investigate the influence of gender and age on hemodynamic characteristics.Research design and methodsSixty age-matched and gender-matched patients with mild DPN (30 men and 30 women) and 60 healthy participants were randomly recruited. Color Doppler ultrasound was used to measure and analyze the hemodynamic characteristics of plantar-related vessels.ResultsUltrasonic measurements had good test–retest reliability. There may be no statistically significant differences in the blood flow velocity and blood flow in the plantar-related blood vessels of participants, irrespective of their gender and age. For patients with mild DPN, color Doppler ultrasound may indicate early hemodynamic abnormalities when there are no obvious abnormalities in the large arteries of the lower limbs, which are specifically manifested as increased blood flow velocity and blood flow in the distal small vessels.ConclusionsOur study provides in vivo data support for the dynamic characteristics of the plantar blood vessel biomechanical model and provides a new idea of in vivo and non-invasive early diagnosis of DPN.

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“…Park et al 4 ) demonstrated decreased glenohumeral joint motion is correlated with decreased blood flow in subjects with impingement. Furthermore, Guirro et al 5 ) demonstrated decreased talocrural joint motion is correlated with decreased blood flow and temperature in women with diabetes. Decreased joint motion leads to a biomechanical disadvantage, reducing the effectiveness of the pumping capacity of the muscle.…”

Section: Introductionmentioning

confidence: 98%

Immediate effects of an end-range mobilization technique on shoulder range of motion and skin temperature in individuals with posterior shoulder tightness

Jung

Kang

et al. 2015

J Phys Ther Sci

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[Purpose] This study investigated the effects of an end-range mobilization technique on the range of motion of the glenohumeral internal rotation and the skin temperature of the shoulder in individuals with posterior shoulder tightness. [Subjects] Thirteen subjects with posterior shoulder tightness who had glenohumeral internal rotation deficit ≥ 15° participated. [Methods] All subjects underwent glenohumeral joint end-range mobilization intervention. The internal rotation range of motion of the glenohumeral joint was measured by a goniometer and the shoulder skin temperature was measured by a digital infrared thermographic imaging device before and immediately after the intervention. Paired t-tests were used to analyze the differences in these parameter pre and post-intervention. [Results] The glenohumeral internal rotation range of motion and skin temperature of the posterolateral shoulder in increased significantly post-intervention. [Conclusion] The end-range mobilization technique is effective for increasing the glenohumeral internal rotation range of motion and skin temperature of the shoulder in individuals with posterior shoulder tightness.

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Decrease in Talocrural Joint Mobility is Related to Alteration of the Arterial Blood Flow Velocity in the Lower Limb in Diabetic Women

Cited by 13 publications

References 25 publications

Factors affecting the range of motion of the ankle and first metatarsophalangeal joints in patients undergoing hemodialysis who walk daily

Factors affecting the range of motion of the ankle and first metatarsophalangeal joints in patients undergoing hemodialysis who walk daily

Alterations in plantar vessel blood flow in patients with mild diabetic peripheral neuropathy

Immediate effects of an end-range mobilization technique on shoulder range of motion and skin temperature in individuals with posterior shoulder tightness

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